HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f �/
Date:. Permit Number: =2 0 {Z
RECEIVED
0
Building Permit Applicat on FEB 18 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,fort Pierce PL 34982
Phone: (772)462-1553 Fax; (772)462-1578 Commercial Residential Vz
PERMITTYPE: F f(xf Y\bt,(N
PROPOSED IMPROVEWNTL_ CATl0W:,
Address; 7� �E- i Cc �Ot+r1{�G 4JIr�VP S�,n �3 La d,� �y L 3+�q5"�
Property Tax 1D#: Lot No.
Site Plan Name: Block No.
Project Name:
DETAIL:EQ:DESCRIPTION OF WORK -
aA
CONSTRUCTIQN INC3RIVIATI{ N.
Additional work to be performed under this permit—check all that apply:
Mechanical Gas Tank _Gas Piping _Shutters y Windows/Doors
✓r
_Electric Plumbing _ Sprinklers _Generator _ Roof Pitch
Total Sq.Ft of Construction: Sq. Ft.of First Floor;
Cost of Construction:$ � �' Utilities: —Sewer ,,_Septic Building Height:
OWNERjI_ESSEE. CONTRACTOR:
Name— oa rb C &U n iw� F, �R
�,r Name: L
Address: FI r2 CCK RA_ Company:
City: e- State:
_LA Address:55rt W')) t eCdis 1 A �Ye
Zip Code; I g t!'7 Z) Fax: City: 1°S L, State:—Et,,Phone No. X15 "0-�9a -I Lk t10 Zip Code: 3qq 0Fax:
E-Mail:Q u,ti,�tr iAA :I •den Phone No 77a "3 0f--0 3
Fill in fee simple Title Holder on next page(if different E-Mail 6k4e f)(JC,( P •It M(A'-I •CV AA.
from the Owner listed above) State or County License �t�tom!c T I. 1✓�ti cn
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
StIPFLEMEN7Al.CQNSTAU -TION-11E N l:AW INFORMATION
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: �'Not Applicable
Name: Name:
Address: Address:
City: _ State: i City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: -Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which,may apply.
in consideration of the granting of this requested permit,i do hereby agree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessary structures,swimming pools,fences,walls,signs,screen rooms and accessary uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION., IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEWRE RECORDING YOUR NOTICE OF CO ENCEME
Signature Owner/Lessee/cot) for as Agent for Owner Si ture of Contractor nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF J1 A COUNTY OF -DA A XX
The forgoing instrnt as acknowledged efore me The for oing instr Hent was acknowledged before me
this- ay of-- -- 2O by this day of 20W"\ by
Name of person making state ent. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identificatian�-'�
Type of Identification Type of Identification
Produced Produced �ti _.
SA Yq Kelly Molloy
Q °c>�NOTARY PLIBUc
A -Aa E OF FLORIDA
(Signature of Notary Public- tit Y ,Florida)T i N A BRIGGS ignature f tary Public-Stag d Qmn G0238684
",,.State of Florida-Notary Pubic lg Expires 9/18/2022
*S m fission#GG20088
.Commission No. ¢` yO#ommission Expires mmission (Seal)
,°;, May 42,2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
LEDATEED
277119